Cruris Fracture among Child Patients in Dr. Hasan Sadikin General Hospital Bandung | Chandra | Althea Medical Journal 552 1829 1 PB
276
AMJ June, 2015
Cruris Fracture among Child Patients in Dr. Hasan Sadikin General
Hospital Bandung
Wenny Dwi Chandra,1 Yoyos Dias Ismiarto,2 Alwin Tahid,3 Nucki Nursjamsi Hidajat2
Faculty of Medicine Universitas Padjadjaran, 2Department of Orthopaedic and Traumatology
Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung,
3
Department of Anatomy and Cell Biology Faculty of Medicine Universitas Padjadjaran
1
Abstract
Background: Cruris are lower extremity fractures commonly found in children. These dangerous fractures
may alter the quality of life of the patients. This study was conducted to explore the characteristics of cruris
fractures in children.
Methods: A descriptive cross-sectional study was performed by reviewing the medical records of children
who were hospitalized at the Department of Orthopaedi and Traumatology, Dr. Hasan Sadikin General
Hospital Bandung during 2010–2011.
Results: On two years study, 62 cases have been reported. Most cases occurred among senior high school
group (37.1%). Boys (71.0%) have a higher rate of fractures than girls. Fractures most frequently occurred
by traffic accidents (87.1%). The fractures are mostly open (58.1%). The common fracture site was tibia
(50.0%) rather than fibula (3.2%) and the most frequent location was on the right side (79.0%) and on the
middle third of the leg (41.9%). Majority of the patients went home in good condition (79.0%).
Conclusion: Fractures are most frequently occurred in April because of high humidity. The causes and
distribution of the fractures based on diagnosis were related to another study. Furthermore, additional
studies are needed to explore the characteristics of cruris fracture among children, not only in certain
hospital but also in Indonesia especially in West Java. [AMJ.2015;2(1):276–80]
Keywords: Characteristic, child, cruris, fractures
Introduction
Injury is an accident that causes someone’s
daily activity to be disturbed.1 Children are
more vulnerable of experiencing injury than
adults. Injury can lead to many cases, one of
them is fracture.2
A percentage of fractures in children is
20.6% of all kinds of injuries.2 The most often
injuries occurred at lower extremities in
children aged 5–14 years old (46.7%) and in
children aged 1–4 years old (43.3%).1 Injuries
and fracture of lower extremity mostly occur
on cruris area (292 cases), followed by femur
(142 cases), foot (90 cases), and hip (9 cases).3
Cruris area are mostly tibia and fibula. Tibia
has a function as weight bearing bones.4
Child bones are more susceptible of
experiencing fractures because they have less
mineral and more vessels compared to adult
bones. A pressure to child bones will create a
heavier impact than adult bones on the same
compression.5 The right preventive actions
and treatment on fractures is very important.
Treating without a right treatment will make
bones grow imperfectly, therefore affecting
the quality of life when the child grow older.2
In Indonesia, the Ministry of Health designed a
guidebook to prevent accidents, even though in
Indonesia fracture cases is not a prime priority
in medicare or health treatment in public.2
According to the data and explanation
above, characteristics of cruris fractures in
children which will provide baseline data for
prevention program and treatment of cruris
fracture cases on children need to be explored.
Therefore, this study aimed to explore these
characteristics.
Methods
This was a cross-sectional descriptive study
conducted in October 2012 using 62 medical
record in child patients (0–
AMJ June, 2015
Cruris Fracture among Child Patients in Dr. Hasan Sadikin General
Hospital Bandung
Wenny Dwi Chandra,1 Yoyos Dias Ismiarto,2 Alwin Tahid,3 Nucki Nursjamsi Hidajat2
Faculty of Medicine Universitas Padjadjaran, 2Department of Orthopaedic and Traumatology
Faculty of Medicine Universitas Padjadjaran/Dr. Hasan Sadikin General Hospital Bandung,
3
Department of Anatomy and Cell Biology Faculty of Medicine Universitas Padjadjaran
1
Abstract
Background: Cruris are lower extremity fractures commonly found in children. These dangerous fractures
may alter the quality of life of the patients. This study was conducted to explore the characteristics of cruris
fractures in children.
Methods: A descriptive cross-sectional study was performed by reviewing the medical records of children
who were hospitalized at the Department of Orthopaedi and Traumatology, Dr. Hasan Sadikin General
Hospital Bandung during 2010–2011.
Results: On two years study, 62 cases have been reported. Most cases occurred among senior high school
group (37.1%). Boys (71.0%) have a higher rate of fractures than girls. Fractures most frequently occurred
by traffic accidents (87.1%). The fractures are mostly open (58.1%). The common fracture site was tibia
(50.0%) rather than fibula (3.2%) and the most frequent location was on the right side (79.0%) and on the
middle third of the leg (41.9%). Majority of the patients went home in good condition (79.0%).
Conclusion: Fractures are most frequently occurred in April because of high humidity. The causes and
distribution of the fractures based on diagnosis were related to another study. Furthermore, additional
studies are needed to explore the characteristics of cruris fracture among children, not only in certain
hospital but also in Indonesia especially in West Java. [AMJ.2015;2(1):276–80]
Keywords: Characteristic, child, cruris, fractures
Introduction
Injury is an accident that causes someone’s
daily activity to be disturbed.1 Children are
more vulnerable of experiencing injury than
adults. Injury can lead to many cases, one of
them is fracture.2
A percentage of fractures in children is
20.6% of all kinds of injuries.2 The most often
injuries occurred at lower extremities in
children aged 5–14 years old (46.7%) and in
children aged 1–4 years old (43.3%).1 Injuries
and fracture of lower extremity mostly occur
on cruris area (292 cases), followed by femur
(142 cases), foot (90 cases), and hip (9 cases).3
Cruris area are mostly tibia and fibula. Tibia
has a function as weight bearing bones.4
Child bones are more susceptible of
experiencing fractures because they have less
mineral and more vessels compared to adult
bones. A pressure to child bones will create a
heavier impact than adult bones on the same
compression.5 The right preventive actions
and treatment on fractures is very important.
Treating without a right treatment will make
bones grow imperfectly, therefore affecting
the quality of life when the child grow older.2
In Indonesia, the Ministry of Health designed a
guidebook to prevent accidents, even though in
Indonesia fracture cases is not a prime priority
in medicare or health treatment in public.2
According to the data and explanation
above, characteristics of cruris fractures in
children which will provide baseline data for
prevention program and treatment of cruris
fracture cases on children need to be explored.
Therefore, this study aimed to explore these
characteristics.
Methods
This was a cross-sectional descriptive study
conducted in October 2012 using 62 medical
record in child patients (0–